Shoulder arthroscopy: Arthroscopy, or invasive "keyhole" surgery, allows a surgeon to look inside the shoulder joint, make an accurate diagnosis, and treat the condition with surgery that requires very small skin incisions. We use made instruments that go through small skin incisions and visualize the shoulder with a camera. Because this technique disrupts the shoulder joint less than open surgery, the hospital stay is shorter and the recovery is smoother than with "open surgery."
There are several conditions that can be treated with arthroscopic shoulder surgery:
The rotator cuff tears
A blow to the shoulder
Frozen shoulders
Shoulder dislocation or instability
Tears of cartilage or labrum
SLAP lesions
Bankart lesions
Loose particles in the joint
Calcific tendonitis
Infection
biceps tendinopathy
You will need several pre-operative tests to make sure you are fit for general anesthesia. Before the operation, we will ask you to fill out several questionnaires. We are part of an international group that studies the results of various surgeries to ensure that the surgical results are satisfactory. We will ask you to complete similar questionnaires at the end of your treatment. The morning after surgery, you will be admitted to the hospital. Before surgery, you must remove all rings from your hand. There will usually be 3 very small incisions around the shoulder. there will be up to 6 small incisions if the operation has several aspects.
The arthroscopic capsular release is performed for a frozen shoulder (adhesive capsulitis) that does not respond to conservative treatment. In this surgery, through 2-3 puncture holes, a radio frequency device is used to cut through the thick and contracted shoulder capsule, providing immediate improvement in shoulder movements. As the inflammation subsides, the pain will also decrease. The puncture holes are then closed with 1 stitch each and the arm is placed in the sling. Aggressive exercises are started. The Sling will be discontinued in a few days. Sutures are removed 2 weeks after surgery. Exercise is a must for at least 3 months to maintain a full range of motion without pain.
Rotator cuff repair is necessary when the tendons of the rotator cuff are torn due to injury, overuse, or impact on the shoulder. Patients have pain and weakness when raising their arms. Repair is usually done by arthroscopic surgery (keyhole technique), and rarely open surgery is needed. Using 3-6 small puncture holes, we visualize the crack with a camera. Suture anchors – small screws with weighted sutures – are then placed in the bone. With these sutures, the tendons of the rotator cuff are sewn into the bone. The bony arch above the tendons (acromion) is shaved at the same time to create space for the rotator cuff tendons to slide – this is called subacromial decompression. After surgery, you are discharged from the hospital the same day or the next morning. You will be in tow for several weeks. Progressive exercises begin the day after surgery. It takes at least 3-6 months for your shoulder strength to return. You are ready for contact sports approximately 9 months after surgery.
Our leading orthopedic consultants specialize in the 6 major joints – shoulder, knee, hip, ankle, elbow, and wrist.
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